Revised

05/08

NORTH CAROLINA

DIVISION OF PRISONS

IN-SERVICE TRAINING - ESSENTIAL JOB FUNCTIONS

FIREARMS

1. The trainee is expected to possess the mental aptitude and physical dexterity to properly operate, draw, hold (with one hand or two), shoulder or carry, load, unload and fire, each of the three (3) standard weapons both during hands-on classroom training and formal courses of fire. The three standard weapons weigh from approximately 3 lbs to 12 lbs.

Can Perform______Cannot Perform ______

Comments: ________

2. The trainee is expected to be able to walk to and from the classroom to the firing range and stand for extended periods of time, up to eight (8) hours, during normal and extreme weather conditions while maintaining mental alertness and safety.

Can Perform______Cannot Perform ______

Comments: ________

3. The trainee is expected to be physically capable of firing qualification courses of fire which require standing, kneeling, bending, and concealing the body behind barricades while firing each of the three standard weapons from either a one-hand-hold, a two-hand-hold or shoulder position.

Can Perform______Cannot Perform ______

Comments: ________

4. The trainee is expected to be able to see at distances of from 3 yards to 50 yards and recognize a man size target at each distance while using the dominant eye or both eyes to properly sight each of the three (3) standard weapons as they continually function and fire each weapon properly.

Can Perform______Cannot Perform ______

Comments: ________

5. The trainee is expected to be capable of mentally and physically withstanding the vibration, recoil, and extreme loud noises produced by firing each of the three (3) standard weapons.

Can Perform______Cannot Perform ______

Comments: ________

6. The trainee is expected to be mentally and physically capable of wearing safety glasses, in addition to prescription glasses and hearing protectors, and capable of seeing and hearing while wearing these safety appliances.

Can Perform______Cannot Perform ______

Comments: ________

7. The trainee is expected to be mentally and physically capable of firing up to 180 rounds with the handgun, 43 rounds with the rifle, and 35 rounds with the shotgun while attempting to fire the minimum qualification score with each of these weapons.

Can Perform______Cannot Perform ______

Comments: ________

PHYSICIAN’S SIGNATURE DATE

PHYSICIAN’S NAME (PLEASE PRINT)